Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $309.03	Professional		$177.83	$245.47	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $363.08	Professional		$275.42	$288.40	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $323.59	Facility		$208.93	$208.93	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $512.86	Professional		$177.83	$208.93	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $457.09	Facility		$199.53	$269.15	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $123.03	Professional		$120.23	$120.23	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $123.03 / $218.78	Professional		$16.22	$123.03	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $165.96 / $281.84	Facility		$22.39	$165.96	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $269.15	Professional		$141.25	$199.53	$269.15